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Services Supporting Adults with Behavioral Health Concerns

Enabling independence for people in recovery. Achieve your life goals and be more involved in your community!

Our Home and Community Based Services (HCBS) and Community Oriented and Recovery Services (CORE) are a group of programs designed to expand access to person-centered, trauma-informed support and training.

Program Overview

In partnership with our clients, we establish goals that support community participation and independence. We strive to work in partnership with you, your managed care plan, service providers, plan members, and your family and government partner to prevent and manage chronic health conditions and recover from serious mental illness and/or addictions.

All of our services are recovery-oriented, supporting a care plan that addresses physical, behavioral and mental health needs through evidence-based and data-driven techniques. This can build stability and promote hope, encouraging each person on their individual path to recovery. You can receive these services in your home or out in the community from our dedicated staff members. We can also connect with you using tele-health technology.

Home and Community Based Services

The Home and Community Based Services we offer support Independence, Education and Employment.

Independence: Daily Living and Social Skills

  • Gain or Regain life skills like making social connections or budgeting * Learn how to advocate for yourself and negotiate relationships
  • If needed, get treatment and rehabilitation services in your own home

Education and Employment

Education Support:

  • Education support to start, return to, or graduate from school to learn skills to get or keep a job.

Employment Support:

  • Choice of employment goal and benefits counseling
  • Support in finding and keeping a job
  • Support to help you stay on the job and start career planning

The specific HCBS Services we provide are: Education, Prevocational, Intensive Supported Employment, Ongoing Supported Employment and Habilitation Services.

Core Services

The three CORE services we offer are:

Psycho-Social Rehabilitation (PSR)

  • Assists individuals in improving their functional abilities to the greatest degree possible in settings where they live, work, learn, and socialize. * Encourage participation in recovery-oriented activities to support and restore social and interpersonal skills
  • Develop coping strategies for effective functioning at home, work, and school
  • Rehabilitation counseling, skill building, and psychoeducational interventions.

Empowerment Services: Peer Supports

  • Non-clinical, peer-delivered services with focus on rehabilitation, recovery, and resilience.
  • Develop coping strategies for effective daily living, while facilitating the use of natural supports and community resources.

Family Support and Training (FST)

  • Offers instruction, emotional support, and skill building necessary to facilitate engagement and active participation of the family.
  • Partners with and includes families through a person-centered or person-directed, recovery oriented, trauma-informed approach.

Eligibility Criteria

These programs are available for individuals 21 and older, who are enrolled in a Medicaid-managed care plan called Health and Recovery Plan (HARP) or HIV-Special Needs Plan (SNP). A Health Home or other Care Manager referral is required. We serve individuals living in Monroe, Cayuga, Livingston, Ontario, Seneca, Schuyler, Steuben, Tioga, Tompkins, Wayne, and Yates Counties.

For HCBS services, members need to complete the New York State Eligibility Assessment with their care manager or recovery coordinator. For CORE services, members do not need to complete this assessment.

Program Cost

This program is paid for through Managed Medicaid already available to Health Home, and HARP eligible, clients. We also have contracts with the following health plans:

  • Excellus
  • Fidelis
  • MVP
  • United Health